TYLER NELSON, DDS, CORP.
NPI: 1134730914
· SAN MARCOS, CA 92078
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/13/2020
$3.30M
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, TYLER (OWNER) |
| NPI Enumeration Date | 08/13/2020 |
Related Entities
Other providers sharing the same authorized official: NELSON, TYLER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
551 |
$35K |
| 2022 |
6,770 |
$758K |
| 2023 |
11,963 |
$1.38M |
| 2024 |
10,422 |
$1.12M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,806 |
1,359 |
$855K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,826 |
2,347 |
$807K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,200 |
1,905 |
$491K |
| D7230 |
|
1,814 |
953 |
$338K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
4,677 |
4,644 |
$306K |
| D9222 |
|
2,344 |
2,339 |
$280K |
| D0330 |
Panoramic radiographic image |
4,568 |
4,535 |
$136K |
| D9610 |
|
2,301 |
2,296 |
$48K |
| D7140 |
Extraction, erupted tooth or exposed root |
471 |
181 |
$27K |
| D7220 |
|
87 |
64 |
$12K |
| D0365 |
|
600 |
591 |
$0.00 |
| D9215 |
|
12 |
12 |
$0.00 |